被送往重症监护室的血液瘤患者的死亡率相关风险因素:系统性审查
Jhon H Quintana1,2, Cesar David López-Vanegas1,2, Giovanna Patricia Rivas-Tafurt1,2,3
1Internal Medicine Specialization Program, Department of Health, Universidad Santiago de Cali, Santiago de Cali 760035, Colombia.
Current oncology (Toronto, Ont.)
|March 26, 2025
概括
在ICU的高风险血液瘤患者面临着来自诸如侵入性机械通风和败血症等因素的死亡率. 早期识别和管理这些关键护理因素可以改善患者的生存率.
科学领域:
- 临界护理医学 临界护理医学
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 在ICU的血液瘤学患者有很高的死亡风险.
- 危急疾病的严重程度使管理变得复杂.
- 确定死亡率因素对于更好的结果至关重要.
研究的目的:
- 为了确定关键因素,与血液瘤病例患者的死亡率相关的ICU.
- 为改善干预和患者结果提供证据.
主要方法:
- 从2012-2023年对研究进行系统审查.
- 在PubMed,Scopus和Web of Science进行的搜索.
- 根据PRISMA指南进行的元分析.
主要成果:
- 侵入性机械通风 (IMV) 的几率比 (OR) 为2.70-8.26 (75%的研究).
- 败血症 (OR 5.06) 和严重的呼吸衰竭 (OR 7.69) 是重要的因素.
- 血管压缩剂的支持,瘤肺部参与,中性质减退,ICU再入院和晚入院也增加了死亡风险.
结论:
- 关键的死亡因素包括IMV,血管压力支持,败血症和严重的呼吸衰竭.
- 肺部瘤的参与,中性质减退,ICU重新入院和晚入院也是危险因素.
- 及时识别和管理这些因素可以提高生存率和护理质量.
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